Pancho - BUS-JAN-67

Code: BUS-JAN-67
Mercy ID: V-00007-01
Encounter Date: 01/11/2000
Last: Busby
First: Janet
DOB: 01/17/1967
County: Gwinnett
Street: 2100 The Arbor Dr. Apt. 1720
City: Duluth
State: GA

Zip

30096-

Home

(678) 376-0532

Family Status

Adult coupie-no children

COB

Venezuela

Gender

Female

Housing

Doubling Up

Education Level

College Degree

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: YES
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Manzo
Data Entry: K. Aleman